A nurse is working with a local group that is in the process of reducing the use of pesticides in community gardens. The nurse should identify that the group is in which of the following stages of change?
Maintenance
Preparation
Contemplation
Action
The Correct Answer is D
A. Maintenance: The maintenance stage occurs after a new behavior has been sustained for an extended period, typically six months or more. At this stage, the focus is on preventing relapse rather than actively implementing change.
B. Preparation: The preparation stage involves planning to take action within the near future, such as gathering resources or developing a plan. The behavior has not yet been implemented, which differs from the scenario described.
C. Contemplation: Contemplation is the stage in which individuals are aware of a problem and are thinking about making a change but have not yet committed to action. The group in this scenario has moved beyond mere consideration.
D. Action: The action stage is characterized by active implementation of strategies to modify behavior. Since the group is actively reducing pesticide use in the community gardens, they are engaged in the action stage of change.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Irritability: While clients with obsessive-compulsive personality disorder (OCPD) may experience frustration when routines are disrupted, irritability alone is nonspecific and not a defining characteristic of the disorder.
B. Shows perfectionism: Perfectionism is a hallmark feature of OCPD. Clients often exhibit rigid adherence to rules, high standards, and meticulous attention to detail, which can impair flexibility, efficiency, and interpersonal relationships.
C. Impulsivity: Impulsivity is more characteristic of disorders such as borderline personality disorder or ADHD. Clients with OCPD are typically controlled, deliberate, and resistant to spontaneous changes.
D. Takes advantage of others: Exploitative behavior is associated with antisocial personality disorder, not OCPD. Individuals with OCPD tend to be conscientious, rule-bound, and focused on personal standards rather than manipulating others for personal gain.
Correct Answer is A
Explanation
A. Oliguria: Vomiting, diarrhea, and decreased oral intake in an infant can lead to significant fluid loss and dehydration. Oliguria, or reduced urine output, is an early and sensitive indicator of decreased circulating volume and renal perfusion in pediatric clients.
B. Bulging anterior fontanel: A bulging fontanel is typically associated with increased intracranial pressure, such as in meningitis or hydrocephalus, rather than dehydration. In fact, dehydration may cause a sunken rather than bulging fontanel.
C. Hypertension: Dehydration usually leads to hypotension due to decreased intravascular volume. Elevated blood pressure is not a common manifestation in infants with fluid losses from vomiting and diarrhea.
D. Decreased temperature: Hypothermia is uncommon in mild to moderate dehydration. Fever may occur with infectious causes of vomiting and diarrhea, but a decreased temperature is not an expected manifestation of dehydration in infants.
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